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How to Participate in the HL7 Ballot: CDA Consolidation Project
Hosted by: Health Story ProjectApril 13, 2011
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Webinar Purpose
1. Summarize the HL7/IHE Health Story Consolidation Project
2. Encourage participation in HL7 CDA Consolidation ballot by providing ballot instructions
3. Raise awareness of Health Story and the collaboration with HL7 and IHE
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Brett Marquard
Senior Interoperability ConsultantLantana Consulting Group
Project LeadIHE/HL7 Health Story Consolidation Project
Liora Alschuler
CEOLantana Consulting Group
HL7 Structured Documents Work Group Co-chair
Executive Committee MemberHealth Story Project
Presenters
Joy Kuhl
PrincipalOptimal Accords, LLC
Executive DirectorHealth Story Project
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Agenda Review
1. Project Background: Health Story, HL7, IHE
2. Project Background: Consolidation Project
3. HL7 Ballot Participation
4. Q&A
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PROJECT BACKGROUND:Health Story, HL7, IHE
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Health Story Project
Non profit, industry alliance Founded 2007 Associate Charter
Agreement: HL7 Sponsor HL7 standards for flow
of information between narrative and EMR systems
Member organizations provide direction
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Health Story Project Members
Founding Members
ParticipantsAll Type - Arrendale Associates - BayScribe - Chase TranscriptionsDictateIT, Ltd - Dispersive Medical - Documentation Services Group
eMTS - Healthline, Inc. - InterFix - MedEDocs - MD-ITNew England Medical Transcription - Phoenix Medcom
Physicians Medical Group of Santa Cruz County - Sten-Tel, Inc. - Webmedx
ContributorsAprima Software - Scribe Healthcare Technologies
Promoters
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A physician’s practical need for fast and easy methods of creating
clinical documentation
The enterprise need forstructured and codedinformation capture
Health Story Project
Computer image courtesy of M*Modal
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Health Story Project
Completed HL7 Implementation Guides1. History & Physical
2. Consultation
3. Operative Report
4. DICOM Imaging Reports
5. Discharge Summary
6. Procedure Note
7. CDA with Unstructured Body
8. Progress Note
9. Consolidated Implementation Guides Meaningful Use requirements (in ballot)
Full CCD/entries (current work)
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Health Level Seven (HL7)
Standards Development Organization ANSI Accredited International Affiliates: approximately 30
countries
Home for development, balloting of CDA, CCD
Also standards for messaging, services, context management, functional profiles
Meets in person 3 times per year and frequently by teleconference
Participation is open to all
Review of standards is open to all
Implementation of standards falls under licensing agreement
www.hl7.org
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Integrating the Healthcare Enterprise (IHE)
Standards profiling organization Builds upon existing standards
Works with HL7, DICOM, other specifications
Developing profiles for CDA through Patient Care Coordination
Issues implementation specifications called “IHE Profiles”
Hosts annual Connectathon for vendor system testing
www.ihe.net
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PROJECT BACKGROUND:Consolidation Project
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Consolidation Project
1. HL7 Consult Note
2. HL7 Diagnostic Imaging Report
3. HL7 Discharge Summary
4. HL7 History and Physical
5. HL7 Operative Note
6. HL7 Procedure Note
7. HL7 Unstructured Documents
8. HL7 Progress Notes
9. HL7 Continuity of Care Document
10. HITSP/C84 Consult and History & Physical Note Document
11. HITSP/C32 - Summary Documents Using HL7 CCD
12. HITSP/C48 Referral and Discharge Summary Document constructs
13. HITSP/C62 Scanned document
One master implementation guide
Health Story supported guides in blue
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Update and harmonize C32 while addressing known issues (ambiguity, gaps, etc.) initially, those issues identified by ONC and required for
Meaningful Use (open technical issues from HITSP, etc.) next, those reused in Health Story finally, if time allows, full set of CCD/C32 templates
Proof of concept for model-driven, structured tools supporting easy to use developer documentation
Rapid demonstration of templated CDA as a data element centric paradigm for health information exchange
Consolidation Project Goals
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Consolidation Project Scope
HL7 Project Scope Statement Success criteria
Publication as DSTU in time for recognition under the next stage of Meaningful Use
Subsequent adoption across the industry Development of related International Guides
should follow
Note: revisions to source specifications not required by consolidation are out of scope
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Key Participants
Approximately 140 volunteers participating in weekly calls and offline work
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HL7 BALLOT PARTICIPATION
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HL7 ballot website http://www.hl7.org/ctl.cfm?action=ballots.home
HL7 v3 ballot instructions http://www.hl7.org/v3ballot/html/help/backbone/backbone.htm#bbballo refers mostly to the HTML ballots; CRS2 is a ZIP file
Current ballot open: now to May 9, 2011
Must join the ballot pool by May 2, 2011
HL7 Balloting: www.hl7.org
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Getting to the ballot site from hl7.org
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Ballot Desktop
If have member login & cookie, will be logged in:
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HL7 members must be logged in
HL7 Ballot Website
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Non-Member Paid Participation
Non Member Participation
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You will first see a list of the available ballots:
From the desktop, join the Ballot Pool
Select “Join Ballot Pools:”
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Select the ballots you’d like to join:
The final sign-up day for the Consolidation Project is May 2, 2011
Ballot Name: “HL7 Implementation Guides for CDA Release 2: IHE Health Story Consolidation, Release 1 (US Realm)”
Joining the Ballot Pool
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Your ballot pools:
The ballot package
The ballot response spreadsheets
HL7 Ballot Participation Process
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Prose document
Sample files
Display stylesheet
Review the Ballot
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Determine your vote
Affirmative May provide comments, but not necessary to do so
Brief comments can be entered on the ballot submission page
Extensive comments must use the ballot spreadsheet
If any line item comment is negative, overall vote must be negative
Negative Must provide comments explaining reason for negative
May reference another person’s ballot as reason for negative
Brief comment can be entered on the ballot submission page
Extensive comments must use the ballot spreadsheet
Abstain: use ballot submission page only
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Find the Comment XLS
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Submitter tab
Your information
Your vote
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Ballot tab
Key fields
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Line item vote types
Negative – major or minor
Affirmative Suggestion, Typo, Question, Comment
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Resolution
Balloter fills out first column; rest done by WG
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Resolution: addressing comments
Indicate who is the “go to” person for reconciling comments
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Collaborating on ballot responses
Review ballot
Consolidate comments into single spreadsheet There is an HL7 “macro” that can do this
Contact Liora if you would like a copy of it
Submit as single organization
Indicate who is the “go to” for reconciliation
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Casting the overall vote
Attaching the spreadsheet
Select the “Vote” tab:
Voting
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Voting
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Ballot reconciliation: Discuss resolution; reach consensus; record decisions At the working group meeting (May 16-20) On conference calls
Thurs 10-12am ET; Tuesday 11-12:30am ET
Request withdrawal of negatives
Work Group decides: Incorporate changes and publish or Incorporate changes and go back to ballot
After the Ballot Closes
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So, why participate in the ballot?
Your ballot is the most powerful voice in HL7 Every comment addressed
Every negative reconciled: use of “non-persuasive” very rare
This is the process that shapes national standards
Voting affirmative Fast and easy to do
Shows support for the effort
Voting negative Takes time
Adds tremendous value
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IN SUMMARY
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Actionable Next Steps
Participate in the Ballot
1. Sign Up for Ballot Pool: Due May 2
2. Review Ballot Documents and Submit Ballot and Comments: Due May 9
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Actionable Next Steps
Participate in the Consolidation Project
1. ONC sponsored calls resume Tuesday, April 19
2. HL7 SDWG meets Thursdays, 10-12 ET
3. Support adoption through Health Story, IHE and HL7
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Questions?
Liora AlschulerChief Executive OfficerLantana Consulting Groupt: 802.785.2623c: 619.847.8800
Brett Marquard Sr. Interoperability ConsultantLantana Consulting Groupt/c: 413.549.6886
www.lantanagroup.com
Joy KuhlHealth Story Projectt: 818.308.7063joy@optimalaccords.com
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